Individual
CHRISTY CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4597
(920) 926-8200
Mailing address
1720 N 7TH ST, SHEBOYGAN, WI 53081-2720
(920) 980-1349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
32088931
WI
363L00000X
Nurse Practitioner
Primary
15421
WI
363LF0000X
Family Nurse Practitioner
1542133
WI
Other
Enumeration date
07/13/2016
Last updated
12/20/2024
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